Meta-analysis of posterior versus medial approach for popliteal artery aneurysm repair.

Background: Popliteal artery aneurysm is an uncommon vascular disease but one that can cause significant morbidity, the most severe being limb loss reported in 20% to 59% of cases. Two approaches to repair are described in the literature, the posterior and the medial; however, the "gold standard" method of repair remains controversial.

Methods: A systematic review of electronic information sources was undertaken to identify papers comparing outcomes of posterior repair vs medial repair.

Endovascular management of a mycotic group A streptococcal abdominal aortic dissection.

Pyrexia of unknown origin can represent a great diagnostic difficulty to clinicians. We present a case of pyrexia with abdominal and back pain, in which blood cultures performed demonstrated group A haemolytic streptococcus. Having recently been abroad, the patient was investigated to find a source.